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<br />nV.l.L\,;J!: OF DEED RES'j'RIC'l'IONS
<br />Tpe ~unqersigned understands that this permi1t: may b.e sub:lect to "deed restrictions" which
<br />may be.. Ja9.re .J;:es~rict.ive .than City requlations. 'Tite undersi9ned assumes responsibility for
<br />compliance. with., any applicable deed restrictic:ms.
<br />B.''''.UNLICENSED 'CONTRACTORS AND CON'rIU\CTOR RESPONSIIHL1'l'IES
<br />If the owner has hired a contractor or cont:cactors to undertake work, they may be required
<br />to be licensed in accordance with state and locnl regulations. If the contractor is not
<br />licensed as' required by law, both the owner and conlrac:lor may be cit~d for a misdemeanor
<br />violation'under sta~e law. If the owner or intended contractor are uncertain as to what
<br />",. licensing requirements may apply for the intended work, they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Further.more, if the owner has hired a contractor or contractors, he is advised to have the
<br />.co~~~a~~or(s) sign portions of the "Contractor Sections" of this. application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you are indicating that
<br />you,; rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contractor that may be an indication that he is not properly lic,ensed and is
<br />not entitled to.' permitting privileges in the City of Zephyrhills.
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D...,. .CON~TRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a.copy of "Florida's Construction
<br />lien Law.:-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement.
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />Ice~tify that all the information in this application is accurate and that all work will
<br />be done in compl~ance with all applicable laws regulating construction, zoning, and land
<br />development. .
<br />Application is hereby made to obtain a perlnit to do work and installation as inqicated. . I
<br />certify that no work or installation has commenced prior to is~uance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning" reguJ,.ations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what~ctions I must take to
<br />be in compliance. Such agencies include but are not limited to: .Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and En~ironmentally Sensitive
<br />Lands, Water/Wastewater Treatment
<br />.Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
<br />. .Altering Watercourses..
<br />.Army Corps 'of Engineers-Seawalls, Docks, Navigable Waterways
<br />.Department of lIealth & Rehabilitative Services, Environmental Ifealth Unit-weltS,
<br />Wastewater Treatment, Septic Tanks
<br />.U.S. Environmental Protection Agency-Asbestos abatement
<br />I also certify that, if fill mat~rial is to be used in Flood Zone "AU or "A,etc.N, it is
<br />understood that a drainage plan addressing a "compensating volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit.
<br />issuance.' .
<br />A permit iss~ed shall be construed to be a licensp. to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />c~rr~ction .of errors in plans, construction, or violations of any code. Everypermit
<br />issuedishall, become invalid unless the work authorized by such permit is commenced within
<br />six'months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />periOd of six months after the time the work is commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to' the Building Official. An approved inspection must be logged during each six
<br />month period, or the project 'will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITIl YOUR LENDER OR J\N J\'l'TORNEY BEFORE RECORDING YOUR NO'rICE OF COMM NT. JOBS UNDER
<br />$2,500 IN VALUE DO NO'r NEED '1'0 RECORD AND pos'r "NOTICE OF COMMENC
<br />
<br />of identification)
<br />take an oath.
<br />
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<br />':A~I~I\J~~ . ',..,
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<br />s;tc;NATURlh OWNER OR AGENT
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<br />. .STATS-.OI:....FLOluDA'.
<br />:-COUN'1'Y-';O~'" , ,~....."':
<br />'The"'forego1ng instrument...wa.~. acknowledged
<br />Before me this day of r 1!L-
<br />by .. ,.,. .
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<br />.'.'.(name of person acknowledged)
<br />Owho"'ispersonally known t.o .me, or
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<br />nowledged . (
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<br />(name of person acknowledged) ,.
<br />is personally known to me, or'
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<br />o wh~ ha~ 'p~9duced
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<br />and whoDdid Ddid not
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<br />identification)
<br />take. an.oathftW'~"!
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<br />Signature ot personta~ing acknowledgement
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<br />, COMMISSION' 000""
<br />EXPIl!S NXJ 01 2005
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<br />M~_~typ~! printed or: stamped
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